45D2291284 CLIA NUMBER - HUB CITY VASCULAR CENTER

Laboratory Demographics

  • CLIA Code: 45D2291284
  • Facility Name: HUB CITY VASCULAR CENTER
  • Facility Address: 2232 INDIANA AVE SUITE 100
    LUBBOCK, TX
    ZIP 79410
  • Facility Phone: 806 368-8361
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ELMOUTAZ MOUSA
  • NPI Number: 1669038626
  • Taxonomy: 367500000X - Nurse Anesthetist, Certified Registered

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CLIA Record

Field Name Field Value
CLIA Number 45D2291284
LAB Type Physician Office
Facility Name HUB CITY VASCULAR CENTER
Street 2232 INDIANA AVE SUITE 100
City LUBBOCK
State TX
ZIP 79410
Phone 806 368-8361
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/9/2023
Certificate Expiration Date 10/8/2025
Facility Type Physician Office
Lab Director ELMOUTAZ MOUSA

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This page was last updated on: 9/29/2025